ICD-10-CM 2027 diagnosis code
D04.5Carcinoma in situ of skin of trunk
D04.5 is a valid, billable ICD-10-CM code for carcinoma in situ of skin of trunk. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About D04.5
D04.5 is the ICD-10-CM diagnosis code for carcinoma in situ of skin of trunk. It belongs to category D04 (carcinoma in situ of skin), block D00-D09 (in situ neoplasms) and chapter 2 (neoplasms). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
Within D04 (carcinoma in situ of skin), D04.5 is specifically for carcinoma in situ of skin of trunk. Related codes cover of lip (D04.0), of eyelid, including canthus (D04.1), of ear and external auricular canal (D04.2), of other and unspecified parts of face (D04.3), of scalp and neck (D04.4), of upper limb, including shoulder (D04.6), of lower limb, including hip (D04.7), of other sites (D04.8) and 1 more.
Don't report D04.5 together with the conditions in its Excludes1 note: carcinoma in situ of anus NOS (D01.3), carcinoma in situ of scrotum (D07.61) and carcinoma in situ of skin of genital organs (D07.-).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 606 (Minor Skin Disorders with MCC, relative weight 1.5728) and DRG 607 (Minor Skin Disorders without MCC, relative weight 0.8772), in MDC 09 (Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as 232.5 (carcinoma in situ of skin of trunk, except scrotum).
Coding notes
- Carcinoma in situ of anal margin
- Carcinoma in situ of anal skin
- Carcinoma in situ of perianal skin
- Carcinoma in situ of skin of breast
Notes that apply from higher levels
Instructions written at a parent level also apply to D04.5.
Broader instructions also apply from D00-D09 In situ neoplasms and Chapter 2: Neoplasms.
Table of Drugs & Neoplasms entries
- Neoplasm, neoplastic › abdomen, abdominal › wall — Ca in situ
- Neoplasm, neoplastic › anus, anal › margin — Ca in situ
- Neoplasm, neoplastic › anus, anal › skin — Ca in situ
- Neoplasm, neoplastic › axilla, axillary › fold — Ca in situ
- Neoplasm, neoplastic › back NEC — Ca in situ
- Neoplasm, neoplastic › breast (connective tissue) (glandular tissue) (soft parts) › skin — Ca in situ
- Neoplasm, neoplastic › buttock NEC — Ca in situ
- Neoplasm, neoplastic › flank NEC — Ca in situ
- Neoplasm, neoplastic › gluteal region — Ca in situ
- Neoplasm, neoplastic › groin NEC — Ca in situ
- Neoplasm, neoplastic › infraclavicular (region) — Ca in situ
- Neoplasm, neoplastic › inguinal (region) — Ca in situ
- Neoplasm, neoplastic › nates — Ca in situ
- Neoplasm, neoplastic › perianal (skin) — Ca in situ
- Neoplasm, neoplastic › skin NOS › abdominal wall — Ca in situ
- Neoplasm, neoplastic › skin NOS › anus — Ca in situ
- Neoplasm, neoplastic › skin NOS › axilla, axillary fold — Ca in situ
- Neoplasm, neoplastic › skin NOS › back — Ca in situ
- Neoplasm, neoplastic › skin NOS › breast — Ca in situ
- Neoplasm, neoplastic › skin NOS › buttock — Ca in situ
- Neoplasm, neoplastic › skin NOS › chest (wall) — Ca in situ
- Neoplasm, neoplastic › skin NOS › clavicular area — Ca in situ
- Neoplasm, neoplastic › skin NOS › flank — Ca in situ
- Neoplasm, neoplastic › skin NOS › gluteal region — Ca in situ
- Neoplasm, neoplastic › skin NOS › groin — Ca in situ
- Neoplasm, neoplastic › skin NOS › infraclavicular region — Ca in situ
- Neoplasm, neoplastic › skin NOS › inguinal region — Ca in situ
- Neoplasm, neoplastic › skin NOS › nates — Ca in situ
- Neoplasm, neoplastic › skin NOS › perianal — Ca in situ
- Neoplasm, neoplastic › skin NOS › perineum — Ca in situ
Codes whose notes reference D04.5
MS-DRG v44.0 grouping
All DRGs →Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.
MDC 09 · Diseases and Disorders of the Skin, Subcutaneous Tissue and Breast
ICD-9-CM equivalent
Converter →- 232.5Carcinoma in situ of skin of trunk, except scrotumapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about D04.5
Is D04.5 billable?
- Yes. D04.5 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can D04.5 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict D04.5 as a principal diagnosis.
Is D04.5 a CC or MCC?
- No. D04.5 is neither a CC nor an MCC under MS-DRG v44.0.
What DRG does D04.5 group to?
- D04.5 is used in the MS-DRG v44.0 logic for MS-DRG 606 (Minor Skin Disorders with MCC) and MS-DRG 607 (Minor Skin Disorders without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.
What is the ICD-9 code for D04.5?
- The CMS General Equivalence Mappings map D04.5 to ICD-9-CM 232.5.